使用心电图学标准预测对心脏再同步治疗的反应:系统性审查
Paulo Dias Costa1, João Pedro Bessa2, Mariana Canelas Pais3
1Center for Health Technology and Services Research, Porto, Portugal; Department of Community Medicine, Information and Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal.
概括
标准心电图 (ECG) 可以预测心脏再同步治疗 (CRT) 的反应. 当代心电图参数在识别将受益于CRT的患者方面表现有希望,尽管需要进一步验证.
科学领域:
- 心脏病学 心脏病学
- 医疗技术 医疗技术 医学技术
背景情况:
- 心脏再同步治疗 (CRT) 是一种治疗心力衰竭的方法.
- 大约30%的患者对CRT没有反应.
- 标准心电图 (ECG) 用于评估CRT反应,但证据是相互矛盾的.
研究的目的:
- 系统地审查现实世界的研究.
- 评估在预测CRT响应时,植入前标准ECG参数的价值.
主要方法:
- 研究的系统审查.
- 搜索了PubMed,Scopus和知识网络.
- 综合结果使用证据表.
主要成果:
- 包括62件符合条件的物品.
- 传统的预测指标:QRS持续时间≥150毫秒,左捆分支区块.
- 当代预测因素:QRS划痕/碎片化,S波评估,内在曲的时间,一比率≥12.
结论:
- 标准心电图显示出预测CRT响应的前景.
- 当代心电图参数特别有希望.
- 需要进一步的研究来验证这些预测因素.
关键词:
心脏再同步治疗心脏再同步治疗心脏衰竭是因为心脏衰竭.没有心脏衰竭.患者的选择患者的选择系统审查 (Revisão Sistemática) 是一个系统的审查.患者的选择 患者的选择系统性审查 系统性审查心脏再同步治疗方法更多相关视频
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